1. Technology and care in City and
Hackney
Harnessing technology across the health
economy to provide more joined up care.
Tracey Fletcher
11th July 2018
2. What is the health economy?
Population growth 2015-2025 by age in City and Hackney (GLA predictions)
3. What is the health economy
Organisations
• City & Hackney GP
Confederation
• Local Authorities (Hackney &
City of London)
• City & Hackney CCG
• NHS Trusts (ELFT & Homerton)
• Voluntary sector through
Hackney CVS
• Healthwatch
• Public & patient representatives
• London Ambulance Service
Governance milestones
• January 2015 – IT
Enabler Board was
established
• Devolution Board & pilots
– end of 2015
• Unplanned Care Board –
established December
2016
• Transformation Board –
established March 2017
4. Integrated Commissioning
Board
Transformation Board
Unplanned Care
Board
Planned Care
Board
PreventionChildren & Young
People
Neighbourhoods
Discharge
Urgent Care
Estates Board
CEPN Board
(Workforce)
IT Enabler Board
Hackney & The City
governance structure
5. IT Enabler Board - the commitment to make it
happen
• IT Enabler programme board with representation from all care
providers and Healthwatch
• Agreed set of core principles to support the IT enabler investment
• Delegated authority to IT enabler board and project teams within
agreed digital model
• Joint workshops across health and social care professionals to
understand the information exchange requirements
• Joint provider/supplier discussions across all providers and their
respective system supplier
• Close working with NHS Digital to secure social care integration
(support the implementation of NHS numbers and spine services)
• Patient events to share planned developments – and show them HIE
6. Where are we going next
• Population Health – advanced analytics to understand the current
demand and model future services; to help prevent poor health and
deterioration
• Extending the interoperability agenda:
o enhancing the connections across Hackney
o connecting information exchanges across London to support the whole
patient journey
o digital image sharing to support the health system in Hackney and
extending to the London cancer network
o social prescribing and improving links with the voluntary sector
o “Digital Discharge to Social Care”: real-time electronic communication of
assessment and discharge notifications to social care
• Remote consultations offering patients better access to services
8. IT Enabler Board - Specific developments
Health Information Exchange
“Live” sites (bi-directional):
– Homerton Acute (Cerner)
– Homerton Community (RiO)
– Barts Health (Cerner)
– ELFT Mental Health Trust (RiO)
– All 42 GP practices to HUH acute (EMIS)
One-way – viewing all health organisations:
– London Borough of Hackney (link to Mosiac to go live in Autumn 2018)
– St. Joseph’s Hospice (out-dated system)
– CHUHSE (link to Adastra to go live over next month)
– Tower Hamlets GP Care Group
Other schemes
• Voluntary sector – developing ability to collect information
• Development of Directory of Services – led by the local authority
In pipeline
• HIE Link to community pharmacists – Q4 2018/19
• London Ambulance Service to link to Barts – estimate end of 2018
– ‘many to many’ link – enables a pass through link – Q4 2018/19
• HIE links across London (London Health Information Exchange programme)
• Digital discharge to social care – Q4 2018/19
• Population health analytics – future development
